Organization
CRESCENT CITY NURSE ANESTHETIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SMITH CRNA (CEO)
(503) 650-4359
Entity
Organization
Contact information
Practice address
800 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8359
(503) 650-4359
(503) 650-6913
Mailing address
PO BOX 249, GLADSTONE, OR 97027-0249
(503) 650-4359
(503) 650-6913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
06/10/2015
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